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HomeMy WebLinkAboutXR2024-0492 - Permits��EWPoR� City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2024-0492 A Community Development Department -Building Division X R 2 0 2 4 0 4 9 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0407 Permit Counter Phone: (949) 718-1888 Issued Date : 02/29/2024 fir. S newportbeachca.gov/civic Final Date: c�trpgnN`P Combination Type - MFP Permit Status: Issued Work Class - Alteration Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 6418 RESIDENCIA Legal Desc : N TR 15584 BLK LOT 2 Description: MFR R/R 5/8" GYP BOARD AND INSULATION AT WALLS 48 SF Owner: NEWPORT BLUFFS LLC Address: PO BOX 2450 NEWPORT BEACH, CA 92658 Phone: (714)720-2521 Applicant: JAY TRUAX Address : 206.5 ABALONE AVE NEWPORT BEACH, CA 92662 Phone: (949)285-5594 Owner/Builder : Address : Phone Contractor : KC 2 GROUP Address : 2383 FORDHAM DR COSTA MESA, CA 92626 Phone: (714)478-51.04 Con State Lie : 1082215 Lie Expire : 10/31/2025 Bus Lie : BT30080216 Bus Lie Expire : 12/31/2024 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No : EXEMPT W. C. Expire: Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : R-2 No of Units : Bldg Height: No of Stories Building Setbacks : Flood Zone : X Use Zone : PC - Bonita Canyon PROCESSED BY: VA SPECIAL CONDITIONS: Architect: RANIER]RANDY Address : 5868 MESQUITE SPRINGS RD TWENTYNINE PALMS, CA 92277 Phone: (714)296-5502 State Lie: CO24225 Engineer: Address Phone: Designer Address Phone: NO Construction Valuation : $1,000.00 NO Added/New/Ti sq. ft. Bldg : 0 57 Alteration sq. ft. Bldg : 48 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law Tor the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) 3ecilon 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000} of Division 3 of the Business and ^rofessions Code) or that he or she Is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500I. 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work; and the structure is not intended or offered for sale (Section 7044, iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who,through employees' or personal effort, builds or improves the property, provided that the nprovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or n3roved for the purpose of sate). I. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I I ant exempt from licensors under the Contractors' State License Law for the following reason: ',y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalp ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by liconsed contractors. I understand that a copy of the applicable taw, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gav/calaw.html. signature of Property Owner or Authorized Agent Date .10ENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) f ivi o 3 of the Business and Professions Code, and my lice full force. nd effect License Class License No ate 2 Contractor Signature �. VORKERS' COMPENSATION DECLARATION WANING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRINUHAL PENALTIES AND CIVIL FINES UP TOONE HUNDREO THOUSAND DOLLARS j5100A00), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES Aa PROVICEII FM IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES, hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate of consent to self -insure tot workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth+ orformanca of the work for which this permit is issued. Policy No, have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers` ranee carrier and policy number era: a of Agent 3 :entry that, in the performance of the work for if I should become subject to the workers) va of Applicant Policy Number Date Vrfil—ti$ issued. I Shell not employ any person in any manner so as to become subject to the workers' provisions of Section 3700of the Labor Code, I Shall forthwith comply with those provisions. Itchy affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Oar's Name Lender's Address my Signature below, I Certify to each of the following: I am the property Owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and laws relating to building construction. I authorize representatives of this city or county to enter the e-MjmIjfied property for inspection purposes. Civil Code). n of California, and ACTION DATE BY 7 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ' i _ 1 REGULATIONS PART 53 OF TITLE 40 AND AOMO RULE 1403 ( PERMIT EXPIRED ISUHMITTED ASBESTOS NOTIFICATION TO PERMIT CAIYCEtr ED EPA "—.. PERMIT CX7ENpCr' PERMiT F'lAlAL I NO__ £ 10-��-- CERGFICATFOF - [ PROP05EO DEMOLMON OCCUPANCYISSUED , SWNAIURE: /-�